| NPI | 1295380707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS GREENWELL Owner/Physical Therapist 331-253-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2023-01-12 |